Finding 1132418 (2024-005)

Material Weakness
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-04-25

AI Summary

  • Core Issue: The Organization did not follow its procurement policy, leading to inadequate competition and improper procurement methods for a contract exceeding the formal threshold.
  • Impacted Requirements: Non-compliance with procurement regulations (2 CFR 200.319 and 2 CFR 200.320) resulted in insufficient records and lack of full competition.
  • Recommended Follow-Up: Educate staff on procurement policies and implement stronger internal controls, including standardized templates for procurement documentation.

Finding Text

Coronavirus State and Local Fiscal Recovery Funds – Assistance Listing No. 21.027 U.S. Department of Treasury Missouri Primary Care Association Criteria or specific requirement – Procurement (2 CFR 200.319 and 2 CFR 200.320) Condition – The Organization’s internal controls over compliance were not sufficient to ensure the appropriate procurement method was utilized based on the value of the procurement transaction or to ensure procurement transactions were conducted in a manner that provided full and open competition. Cause – The Organization did not follow its policy when procuring services during the pre-construction phase of a project later funded by federal grants. Effect or potential effect – A contract for services was entered into during 2022 with estimated fees in excess of the threshold requiring a formal procurement method. The request for proposal did not allow for full and open competition as the Organization did not publicly request proposals or bids and only one proposal was obtained. Services purchased in 2024 under this contract may not have been obtained in the most effective manner. Questioned costs – Unknown Context – A sample of one procurement totaling $336,274 was tested out of a population of three procurements. The sample was not, and is not intended to be, statistically valid. The Organization’s procurement records were insufficient in accordance with the Organization’s procurement policy and Uniform Guidance. Identification as a repeat finding, if applicable – Not a repeat finding Recommendation – The Organization should educate employees on its procurement policy, which is compliant with Uniform Guidance. The Organization should also implement additional internal controls, such as the creation of a standard form or template for purchase orders, contracts, requests for proposals/bids, cost/price analyses, bid evaluation, etc., to ensure compliance with its procurement policy and that procurement records sufficient to detail the history of each procurement transaction are maintained. Views of responsible officials and planned corrective actions – This error occurred during fiscal year 2022, when the architect for an upcoming project was chosen. We are in a very rural area, where architects are not easy to come by. For this project, we had decided to utilize a local firm we had a good track record with. We presented it to our board for approval, and it was approved by them at that time so we originally had thought we could justify with having them as a sole source vendor. At the time, the total amount of the project was unknown, and has even changed significantly since that date. However, come to find out, due to the size of the project it should have been bid out. We have revised our procurement policy since this date and have educated all staff on proper procurement procedures.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 555967 2024-002
    Significant Deficiency
  • 555968 2024-002
    Significant Deficiency
  • 555969 2024-002
    Significant Deficiency
  • 555970 2024-002
    Significant Deficiency
  • 555971 2024-003
    Significant Deficiency
  • 555972 2024-004
    Significant Deficiency
  • 555973 2024-004
    Significant Deficiency
  • 555974 2024-004
    Significant Deficiency
  • 555975 2024-004
    Significant Deficiency
  • 555976 2024-005
    Material Weakness
  • 1132409 2024-002
    Significant Deficiency
  • 1132410 2024-002
    Significant Deficiency
  • 1132411 2024-002
    Significant Deficiency
  • 1132412 2024-002
    Significant Deficiency
  • 1132413 2024-003
    Significant Deficiency
  • 1132414 2024-004
    Significant Deficiency
  • 1132415 2024-004
    Significant Deficiency
  • 1132416 2024-004
    Significant Deficiency
  • 1132417 2024-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $3.99M
10.768 Business and Industry Guaranteed Loans $1.54M
93.224 Community Health Centers $1.50M
21.027 Coronavirus State and Local Fiscal Recovery Funds $432,041
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $172,181
93.526 Fip Verification $171,880
93.778 Medical Assistance Program $134,633
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $110,403
93.268 Immunization Cooperative Agreements $94,705
14.218 Community Development Block Grants/entitlement Grants $39,650
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $29,214
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $14,287
10.766 Community Facilities Loans and Grants $10,471
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $5,052
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $424